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[先天性心脏病心室生长中的解剖-向量心电图相关性]

[Anatomo-vectorcardiographic correlation in ventricular growth in congenital heart diseases].

作者信息

Medrano G A, de Micheli A, Padilla S

出版信息

Arch Inst Cardiol Mex. 1975 Jan-Feb;45(1):51-76.

PMID:1130914
Abstract

Anatomo-vectorcardiographic correlations were studied in 59 cases of congenital heart disease. In the group with interventricular septal defect and pulmonary hypertensión, a statistically significant correlation between the thickness of the free right ventricular wall, at its outflow tract, and the inscription time of the vertex of the S loop, was found. In the group of Fallot's tetralogy, the segmentary hypertrophy of the right ventricle, which is the most frequent, explains very well the terminal portion of frontal and sagittal vectorcardiograms located below the 0 point. In the group with interatrial septal defect and pulmonary hypertension, a statistically significant correlation between the thickness of the antero-lateral superior third of the free right ventricular wall and the inscription time of the vertex of the S loop, was shown. In the group of congenital malformations with repercussion on the left ventricle (interventricular septal defect, patent ductus arteriosus and coarctation of aorta), a statistically significant correlation between the anatomical findings of a hypertrophied superior third of this ventricle and the inscription time of the vertex of the R loop, was observed.

摘要

对59例先天性心脏病患者进行了解剖向量心电图相关性研究。在室间隔缺损合并肺动脉高压组中,发现右心室游离壁流出道厚度与S环顶点记录时间之间存在统计学显著相关性。在法洛四联症组中,最常见的右心室节段性肥厚很好地解释了额面和矢状面心电图位于0点以下的终末部分。在房间隔缺损合并肺动脉高压组中,显示右心室游离壁前外侧上三分之一厚度与S环顶点记录时间之间存在统计学显著相关性。在对左心室有影响的先天性畸形组(室间隔缺损、动脉导管未闭和主动脉缩窄)中,观察到该心室上三分之一肥厚的解剖学发现与R环顶点记录时间之间存在统计学显著相关性。

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